Lions Eye Institute
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The Lions Eye Institute (LEI) is an Australian
medical research Medical research (or biomedical research), also known as health research, refers to the process of using scientific methods with the aim to produce knowledge about human diseases, the prevention and treatment of illness, and the promotion of ...
institute An institute is an organizational body created for a certain purpose. They are often research organisations (research institutes) created to do research on specific topics, or can also be a professional body. In some countries, institutes ca ...
affiliated with the
University of Western Australia University of Western Australia (UWA) is a public research university in the Australian state of Western Australia. The university's main campus is in Crawley, Western Australia, Crawley, a suburb in the City of Perth local government area. UW ...
. It was established in 1983 with support of the Lions Clubs of Western Australia and headquartered in the suburb of ,
Western Australia Western Australia (WA) is the westernmost state of Australia. It is bounded by the Indian Ocean to the north and west, the Southern Ocean to the south, the Northern Territory to the north-east, and South Australia to the south-east. Western Aust ...
. The LEI is a
not-for-profit A not-for-profit or non-for-profit organization (NFPO) is a Legal Entity, legal entity that does not distribute surplus funds to its members and is formed to fulfill specific objectives. While not-for-profit organizations and Nonprofit organ ...
centre of excellence that combines an ophthalmic clinic with scientific discovery developing techniques for the prevention of blindness and the reduction of pain from blinding eye conditions.


History

At a 1970 convention in
Albany, Western Australia Albany ( ; ) is a port city in the Great Southern region in the Australian state of Western Australia, southeast of Perth, the state capital. The city centre is at the northern edge of Princess Royal Harbour, which is a part of King G ...
, the Western Australian Lions Clubs created the Lions Save Sight Foundation (WA) Inc. with the aim of leading the development of ophthalmic care. In 1975 the Lions Save-Sight Foundation (LSSF) established the Lions Chair in Ophthalmology at the University of Western Australia. Since its establishment, clinical facilities, new equipment, and research laboratories have been strategically commissioned to support the LEI's core activities. In 1983, under Professor Ian Constable's guidance, the LEI, a not-for-profit organisation was established. With Constable, the LEI became an international centre for scientific research into blindness. Following its development, it relocated to the grounds of Sir Charles Gairdner Hospital. Its current Managing Director Bill Morgan leads a team of clinicians, medical professionals, researchers and support staff. In 1994, the Institute created in partnership with the
University of Western Australia University of Western Australia (UWA) is a public research university in the Australian state of Western Australia. The university's main campus is in Crawley, Western Australia, Crawley, a suburb in the City of Perth local government area. UW ...
, the Centre for Ophthalmology and Visual Science (COVS). This centre has an independent University status within the Faculty of Medicine and Dentistry. In 2003, the LEI revised its basis of incorporation from a public benevolent charitable institution to a not-for profit limited liability company.


Overview

The LEI employs scientists,
clinic A clinic (or outpatient clinic or ambulatory care clinic) is a health facility that is primarily focused on the care of outpatients. Clinics can be privately operated or publicly managed and funded. They typically cover the primary care needs ...
ians, and support staff to conduct scientific research into blindness with known ophthalmic practices in Australia. The Institute also includes a Laser Vision Centre, Western Australia's refractive surgery centre; the Lions Eye Bank, Lions Outback Vision, Lions Optics and the LSSF. The LEI actively participates in numerous
clinical trial Clinical trials are prospective biomedical or behavioral research studies on human subject research, human participants designed to answer specific questions about biomedical or behavioral interventions, including new treatments (such as novel v ...
s for the development of new treatments for eye diseases, in collaboration with scientists, ophthalmologists, and pharmaceutical companies. The Institute receives funds from clinic operations and its grants from organisations such as the
National Health and Medical Research Council The National Health and Medical Research Council (NHMRC) is the main statutory authority of the Australian Government responsible for medical research. It was the eighth largest research funding body in the world in 2016, and NHMRC-funded res ...
, individual benefactors and the LSSF.


Services

The LEI provides a range of services including standard
clinic A clinic (or outpatient clinic or ambulatory care clinic) is a health facility that is primarily focused on the care of outpatients. Clinics can be privately operated or publicly managed and funded. They typically cover the primary care needs ...
al services,
LASIK LASIK or Lasik (; "laser-assisted in situ keratomileusis"), commonly referred to as laser eye surgery or laser vision correction, is a type of refractive surgery for the correction of myopia, hyperopia, and astigmatism. LASIK surgery is p ...
surgery at the Lions Laser Vision Center,
cataract A cataract is a cloudy area in the lens (anatomy), lens of the eye that leads to a visual impairment, decrease in vision of the eye. Cataracts often develop slowly and can affect one or both eyes. Symptoms may include faded colours, blurry or ...
micro-surgery and lens implantation, plastic surgery of the eyelids and full
optometric Optometry is the healthcare practice concerned with examining the eyes for visual defects, prescribing corrective lenses, and detecting eye abnormalities. In the United States and Canada, optometrists are those that hold a post-baccalaureate f ...
service at Lions Optics. The Lions Eye Bank collects and distributes
corneal The cornea is the transparent front part of the eyeball which covers the iris, pupil, and anterior chamber. Along with the anterior chamber and lens, the cornea refracts light, accounting for approximately two-thirds of the eye's total optical ...
tissue, scleral tissue and supplies thousands of corneal transplants throughout Western Australia. The Institute initiated the Pilbara Aboriginal Eye Health Program, a strategy targeting indigenous people who suffer from diabetes and associated blinding eye diseases prevalent within the Aboriginal population. As part of the Australian Government aid to the Indonesian Government, In July 2007, the LEI was instrumental in setting up the Bali Mandara Eye Hospital which was handed over to the Indonesian Government on 13 October 2015. The LEI provides open consultations and health education seminars in cooperation with several organisations including Glaucoma Australia,
Retinitis Pigmentosa Retinitis pigmentosa (RP) is a member of a group of genetic disorders called inherited retinal dystrophy (IRD) that cause loss of vision. Symptoms include trouble seeing at night and decreasing peripheral vision (side and upper or lower visua ...
Society of Western Australia, Macular Degeneration Foundation and the Australian Foundation for the Prevention of Blindness. Its ophthalmologists also consult at Perth's main teaching public hospitals including
Sir Charles Gairdner Hospital Sir Charles Gairdner Hospital (SCGH) is a teaching hospital in Nedlands, Western Australia. Opened in 1958 as the Perth Chest Hospital and later named in honour of Sir Charles Gairdner, governor of Western Australia from 1951 to 1963, it is p ...
,
Royal Perth Hospital Royal Perth Hospital (RPH) is a 450-bed adult and teaching hospital located on the northeastern edge of the central business district of Perth, Western Australia. History The hospital traces its history back to the first colonial hospital, whi ...
and
Fremantle Hospital Fremantle Hospital is an Australian public hospital situated on South Terrace in central Fremantle, a suburb of Perth, Western Australia. It was formerly the major hospital in its region; however, with the opening of Fiona Stanley Hospital in ...
.


Research Activities

The LEI teams investigate all major causes of blindness including cataracts,
diabetes Diabetes mellitus, commonly known as diabetes, is a group of common endocrine diseases characterized by sustained high blood sugar levels. Diabetes is due to either the pancreas not producing enough of the hormone insulin, or the cells of th ...
related eye disease,
glaucoma Glaucoma is a group of eye diseases that can lead to damage of the optic nerve. The optic nerve transmits visual information from the eye to the brain. Glaucoma may cause vision loss if left untreated. It has been called the "silent thief of ...
,
retina The retina (; or retinas) is the innermost, photosensitivity, light-sensitive layer of tissue (biology), tissue of the eye of most vertebrates and some Mollusca, molluscs. The optics of the eye create a focus (optics), focused two-dimensional ...
l degenerations,
corneal The cornea is the transparent front part of the eyeball which covers the iris, pupil, and anterior chamber. Along with the anterior chamber and lens, the cornea refracts light, accounting for approximately two-thirds of the eye's total optical ...
, and
immune In biology, immunity is the state of being insusceptible or resistant to a noxious agent or process, especially a pathogen or infectious disease. Immunity may occur naturally or be produced by prior exposure or immunization. Innate and adaptive ...
-based diseases. More than 70 scientists at the LEI use a range of technologies to develop treatments for blinding diseases, including
gene therapy Gene therapy is Health technology, medical technology that aims to produce a therapeutic effect through the manipulation of gene expression or through altering the biological properties of living cells. The first attempt at modifying human DNA ...
and telemedicine. The LEI has national and international institutional partnerships including American Juvenile Diabetes Foundation, Shanghai University, Swedish University of Agricultural Science, University of Missouri and the National Eye Institute (USA). For example, the LEI participates in joint research and development projects with the American Juvenile Diabetes Foundation,
Swedish University of Agricultural Sciences The Swedish University of Agricultural Sciences, or Swedish Agricultural University (, SLU) is a public research university in Sweden. Although its main campus and head office is located in Ultuna, Uppsala, the university has several campuses ...
,
University of Missouri The University of Missouri (Mizzou or MU) is a public university, public Land-grant university, land-grant research university in Columbia, Missouri, United States. It is Missouri's largest university and the flagship of the four-campus Univers ...
and the
National Eye Institute The National Eye Institute (NEI) is part of the National Institutes of Health, U.S. National Institutes of Health (NIH), an agency of the United States Department of Health and Human Services, U.S. Department of Health and Human Services. The mi ...
(USA). Research carried out by the Institute teams led to the first retinal vein bypass treatment of blockages, and the development of the first transgenic mouse model for
Age-Related Macular Degeneration Macular degeneration, also known as age-related macular degeneration (AMD or ARMD), is a medical condition which may result in blurred or no vision in the center of the visual field. Early on there are often no symptoms. Some people experien ...
, the leading cause of blindness for people over 55. This model is expected to accelerate the development of ARMD leading to an effective treatment. At the LEI, the first artificial cornea, the AlphaCor was developed and implanted into a human eye. The LEI is acknowledged as a core academic centre involved in clinical trials of new pharmaceutical therapies and surgical procedures before government approval. For example, the Xen Gel Stent, an implantable transcleral microsurgical device developed at the LEI, was approved for use in the US by the FDA in 2016.


See also

*
Health in Australia Australia is a high income country, and this is reflected in the good status of health of the population overall. In 2011, Australia ranked 2nd on the United Nations Development Programme's Human Development Index, indicating the level of developm ...
* Corneal dystrophies in human * List of eye surgeries *
List of systemic diseases with ocular manifestations An ocular manifestation of a systemic disease is an eye condition that directly or indirectly results from a disease process in another part of the body. There are many diseases known to cause ocular or visual changes. Diabetes, for example, is th ...
*
Gene therapy of the human retina Retinal gene therapy holds a promise in treating different forms of non-inherited and inherited blindness. In 2008, three independent research groups reported that patients with the rare genetic retinal disease Leber's congenital amaurosis had bee ...
*
Lions Club International Lions Clubs International, is an international service organization, currently headquartered in Oak Brook, Illinois. , it had over 46,000 local clubs and more than 1.4 million members (including the youth wing Leo) in more than 200 geographic ...


References

{{authority control Medical research institutes in Western Australia Ophthalmology organizations Lions Clubs International Eye care in Australia
Eye diseases This is a partial list of human eye diseases and disorders. The World Health Organization (WHO) publishes a classification of known diseases and injuries, the International Statistical Classification of Diseases and Related Health Problems, or ...
University of Western Australia 1983 establishments in Australia Research institutes established in 1983